How Can I Make my Nose Look Taller? (photo)

Question

My nose is quite wide and flat at the bottom. I mostly want to make my nose less wide. I hope to remove the tip or ball at the end of my nose. Would that help the sides stand taller and look less wide? What procedures would be best and if possible are there nonsurgical methods? Thanks

Kenneth Hughes, MD · Answer

The apparent nasal width can be reduced as well as the width of the tip, and the dorsum can be augmented with a multitude of techniques and materials. Find the plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. Kenneth Hughes, MD Los Angeles, CA

Steven J. Pearlman, MD, FACS · Answer

Nasal length is from the top (radix) to the bottom (columella). A short nose that has too low a bridge, as is common in Asian rhinoplasty, can be made longer by adding a graft to raise the bridge. That will lengthen the nose by making it start higher.

	A short nose due to a high nasal tip or columella requires bringing down the tip of the nose, which requires grafts to the nasal tripod or two nasal tip walls and the portion between them (columella).

	I suggest you seek out a rhinoplasty specialist and discuss your desires. Computer imaging helps a lot to visualize potential changes together.

C. Carson Huynh, MD, DMD, FACS · Answer

First and foremost, cosmetic appearance of the nose has to be evaluated in context of proportion to other facial structures such as the distance between the corners of the eyes and relative chin projection.

	A safe and simple option to augment the bridge of the nose for a taller and narrower appearance is a dorsal implant.  This can be combined with an adjunctive procedure to narrow the base of the nose to bring in the flaring nostrils.  If tip improvement is desired, this can be accomplisted with some minor cartilage grafts. A major donor graft such as a rib graft is unnecessary and should be avoided for non-revision cases.  This is a commonly requested procedure among Asian and African American patients.

Lane Smith, MD · Answer

There are many options, including cartilage grafts, fascia-cartilage grafts, implants and injections.  In general injections can be used to make the nose taller, but they are limited in their effect and the safest ones dissolve after 6 yo 9 months (Juvederm, Restylane.)   Surgery works well and usually I prefer to build up the nose with natural tissue, usualy a cartilage-fascia graft.

	 

	Best regards,

	 

	Dr. Lane Smith

Sam Naficy, MD, FACS · Answer

Based on your photos it appears that you have an underprojected (flat) bridge and will benefit from augmentation rhinoplasty - ideally with rib cartilage graft

Travis T. Tollefson, MD, MPH · Answer

Dear Blair

	
		You already answered your own question.. Good Job
	
		By adding some projection (make it taller) to your nose in a proportionate way, your nose will appear less wide.
	
		There are many ways to make your nose taller with your own cartilage or implants. 
	
		the other features of your nose should be discussed in your consultations. 
	
		Best Wishes

Barry L. Eppley, MD, DMD · Answer

When you refer to taller and less wide you mean dorsal or dorso-columellar augmentation. This means building up the bridge of the nose down to the tip and/or including the tip also. This can be done by either a cartilage rib graft or a synthetic implant. The rib graft is by far the better approach long-term but it requires more of commitment in terms of expense, recovery and a donor site scar.

Steven Wallach, MD · Answer

If you want to make the dorsum stronger, then you will need a graft on the dorsum. Usually it is best to use a cartilage graft.

William Portuese, MD · Answer

A very flat nose such as this would require augmentation rhinoplasty with either the patient's own cartilage harvested from inside the nose, or a small Silastic implant placed directly over the bridge. This nose is too flat to place fillers in.

David C. Mabrie, MD · Answer

You are a great candidate for a non-surgical rhinoplasty!

	
		Fillers placed to the bridge will add height.
	
		The bridge will appear more narrow.
	
		The tip definition can be improved.
	
		Either Restylane or Radiesse are great fillers for non-surgical rhinoplasty.


	I am attaching a link of a patient of mine with a similar appearance, good luck!

How Can I Make my Nose Look Taller? (photo)

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